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Shelly Smith
Child Mental Illness Respite Care in Prescott Valley, Arizona
NPI 1609245752

Shelly Smith is a Child Mental Illness Respite Care based in Prescott Valley, AZ and is specialized in Respite Care, Mental Illness, Child. Shelly Smith practices in Prescott Valley, AZ. The NPI Number for Shelly Smith is 1609245752 and holds a License No. BH4554 (Arizona).

The current practice location address for Shelly Smith is 6060 N Wildhorse Dr, Prescott Valley, AZ and can be reached out via phone at 760-644-3670.

Location: 6060 N Wildhorse Dr, Prescott Valley, AZ, 86314-3346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609245752
Provider Name
Shelly Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
6060 N Wildhorse Dr, Prescott Valley, AZ, 86314-3346
Phone Number
760-644-3670
Fax Number
Provider Enumeration Date
09/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6060 N Wildhorse Dr
City
Prescott Valley
State
Arizona
Zip
86314-3346
Phone Number
760-644-3670
Fax Number
person
Provider Business Mailing Address Details
Address
6060 N Wildhorse Dr
City
Prescott Valley
State
Arizona
Zip
86314-3346
Phone Number
760-644-3670
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
BH4554 (Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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